Eye Care Specialists Ps in Clarkston - Ophthalmology
Eye Care Specialists Ps - NPI 1376556514
Eye Care Specialists Ps is a Ophthalmology in Clarkston, Washington. Eye Care Specialists Ps practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Eye Care Specialists Ps is 1376556514. The last update date is 2011-09-20.
Eye Care Specialists Ps's current location address is 500 Port Dr, Clarkston, Washington. You can contact this provider via phone number 5097588811 and fax number 5097511188. The mailing address for Eye Care Specialists Ps is 500 Port Dr, Clarkston, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eye Care Specialists Ps |
|---|---|
| Address | 500 Port Dr, Clarkston, Washington |
| Phone Number | 5097588811 |
| Fax Number | 5097511188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Eggleston T Mark |
| Credentials | MD |
| Telephone Number | 5097588811 |
NPI Number Detail
| NPI Number | 1376556514 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2011-09-20 |
Provider Mailing Address Detail
| Address | 500 Port Dr |
|---|---|
| City | Clarkston |
| State | Washington (WA) |
| Post Code | 994031835 |
| Phone Number | 5097588811 |
| Fax Number | 5097511188 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | MD00014109 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10000776 | ID | REGENCE BLUE SHIELD OF IDAHO | |
| 7088982 | WA | -- | |
| 10000776 | FEDERAL BLUE CROSS | ||
| OA263 | ID | BLUE CROSS OF IDAHO | |
| 8929432 | WA | CRIME VICTIMS COMPENSATION ACT | |
| 159901 | WA | LABOR & INDUSTRY | |
| 805245400 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eye Care Specialists Ps by the Centers for Medicare & Medicaid Services?
The Eye Care Specialists Ps has been assigned the NPI (National Provider Identifier) 1376556514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Eye Care Specialists Ps's physical address?
The Eye Care Specialists Ps is physically located at 500 Port Dr, in the city of Clarkston, WA, with the postal code 994031835.
What is the Eye Care Specialists Ps's specialty and taxonomy code?
The Eye Care Specialists Ps's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376556514 to Eye Care Specialists Ps?
The Centers for Medicare & Medicaid Services assigned the 1376556514 to Eye Care Specialists Ps on 2006-08-15.
When was the information related to Eye Care Specialists Ps most recently updated or refreshed?
The details pertaining to the Eye Care Specialists Ps, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-20.
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